NCLEX MODULE 9 EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2022 (GRADE A+ GUARANTEED).

A client who has undergone abdominal surgery calls the nurse and reports that she just felt “something give way” in the abdominal incision. The nurse checks the incision and notes the presence of wound dehiscence. The nurse should take which immediate action? A. Document the findings B. Contact the primary health care provider C. Place the client in a supine position with the legs flat D. Cover the abdominal wound with a sterile dressing moistened with sterile saline solution 2. 2. A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is restless and the pulse rate is increased. As the nurse continues the assessment, the client begins to vomit a copious amount of bright-red blood. The nurse should take which immediate action? A. Notify the surgeon B. Continue the assessment C. Check the client’s blood pressure D. Obtain a flashlight, gauze, and a curved hemostat 3. 3. A client who has just undergone surgery suddenly experiences chest pain, dyspnea, and tachypnea. The nurse suspects that the client has a pulmonary embolism and immediately sets about to take which action? A. Preparing the client for a perfusion scan B. Attaching the client to a cardiac monitor C. Administering oxygen by way of nasal cannula D. Ensuring that the intravenous (IV) line is patent 4. 4. A nurse is assessing a client who has a closed chest tube drainage system. The nurse notes constant bubbling in the water seal chamber. What actions should the nurse take? Select all that apply. A. Clamp the chest tube B. Change the drainage system C. Assess the system for an external air leak D. Reduce the degree of suction being applied E. Document assessment findings, actions taken, and client response 5. 5. A nurse is helping a client with a closed chest tube drainage system get out of bed and into a chair. During the transfer, the chest tube is caught on the leg of the chair and dislodged from the insertion site. What is the immediate nursing action? A. Reinsert the chest tube B. Contact the primary health care provider C. Transfer the client back to bed D. Cover the insertion site with a sterile occlusive dressing 6. 6. A nurse performing nasopharyngeal suctioning and suddenly notes the presence of bloody secretions. Which action should the nurse take first? A. Continue suctioning to remove the blood B. Check the degree of suction being applied C. Encourage the client to cough out the bloody secretions D. Remove the suction catheter from the client’s nose and begin vigorous suctioning through the mouth 7. 7. A nurse is suctioning a client through a tracheostomy tube. During the procedure, the client begins to cough, and the nurse hears a wheeze. The nurse tries to remove the suction catheter from the client’s trachea but is unable to do so. Which action should the nurse take first? A. Call a code B. Contact the primary health care provider C. Administer a bronchodilator D. Disconnect the suction source from the catheter 8. 8. A nurse assesses the closed chest tube drainage system of a client who underwent lobectomy 24 hours ago. The nurse notes that there has been no chest tube drainage for the past hour. Which action should the nurse take first? A. Contact the primary health care provider B. Check for kinks in the drainage system C. Check the client’s blood pressure and heart rate D. Connect a new drainage system to the client’s chest tube 9. 9. A nurse is assessing a postoperative client on an hourly basis. The nurse notes that the client’s urine output for the past hour was 25 mL. On the basis of this finding, the nurse should take which action first? A. Call the primary health care provider B. Increase the rate of the IV infusion C. Check the client’s overall intake and output record D. Administer a 250-mL bolus of normal saline solution (0.9%) 10. 10. A nurse is getting a client out of bed for the first time since surgery. The nurse raises the head of the bed, and the client complains of dizziness. Which action should the nurse take first? A. Check the client’s blood pressure B. Check the oxygen saturation level C. Have the client take some deep breaths D. Lower the head of the bed slowly until the dizziness is relieved 11. 11. A nurse is preparing for intershift report when an assistive personnel (AP) pulls an emergency call light in a client’s room. Upon answering the light, the nurse finds a client who returned from surgery earlier in the day experiencing tachycardia and tachypnea. The client’s blood pressure is 88/60 mm Hg. Which action should the nurse take first? A. Call the primary health care provider B. Check the hourly urine output C. Check the IV site for infiltration D. Place the client in a modified Trendelenburg position 12. 12. A nurse is assessing the chest tube drainage system of a postoperative client who has undergone a right upper lobectomy. The closed drainage system contains 300 mL of bloody drainage, and the nurse notes interm